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-- KRAIG M RUSSELL -- MD

Individual Provider (NPI-1) Active

Internal Medicine, Hospice and Palliative Medicine

Provider Information

NPI Number
1760414916
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
10123 SE MARKET ST, PORTLAND, OR, 972162532
Phone
(503) 261-6985
Fax
(503) 261-6790

Specialties & Taxonomies

Internal Medicine License: OH #35087067
Internal Medicine License: NC #200900320
Internal Medicine, Hospice and Palliative Medicine License: NC #200900320
Internal Medicine, Hospice and Palliative Medicine Primary License: OR #MD156766

All Addresses

LOCATION

10123 SE MARKET ST

PORTLAND, OR, 972162532

(503) 261-6985

MAILING

PO BOX 92900

PORTLAND, OR, 972920900

(503) 261-6985